Provider Demographics
NPI:1083416937
Name:ABBAS, TEHREEM
Entity type:Individual
Prefix:
First Name:TEHREEM
Middle Name:
Last Name:ABBAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12764 WOOD HOLLOW DR APT 1525
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-6542
Mailing Address - Country:US
Mailing Address - Phone:703-504-8779
Mailing Address - Fax:
Practice Address - Street 1:12764 WOOD HOLLOW DR APT 1525
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-6542
Practice Address - Country:US
Practice Address - Phone:703-504-8779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant